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Individual

MR. WILLIAM DEREK HANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.S.

Contact information

Practice address
416 S MAIN ST, ESTILL SPRINGS, TN 37330-4037
(931) 649-3408
(931) 649-3409
Mailing address
416 S MAIN ST, ESTILL SPRINGS, TN 37330-4037
(931) 649-3408
(931) 649-3409

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
088893654
TN

Other

Enumeration date
09/26/2012
Last updated
09/26/2012
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